| NPI | 1629358700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON PAUL NICOLAIDES Clinical Director 702-251-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV 5955-c) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |